A châng chuan i kal laiin i ke a na, i hrual, a nih loh leh i ke ruh tliak mai mai i nei em? Rei vak lo i kal hnuah i ke a na tan em, rei vak lo i din hnuah a natna chu a reh ta em? Tichuan hei hi a chhan ber pakhat chu i ke thlenga thisen phurtu vein te chu thauin a khuh vang a ni thei. Hetiang dinhmun hi Peripheral Artery Disease, a tawi zawngin PAD kan ti a. Chuvangin vawiin hian heng thisen kalna kawng khar tawhte tifai thei leh thisen kal dan tur siam thattu enkawlna kawng bik leh hmasawn tak tak kan sawi dawn a ni. Atherectomy tih a ni.
A awlsam zawngin Atherectomy tih hi eng nge ni?
Kan in chhunga tui pipe chu hun kal zelah bawlhhlawh leh hnim hringin a khuh ang bawkin, cholesterol ang chi thau tak takte pawh hun kal zelah kan taksa thisen kalnaah a lo pungkhawm thei bawk. He thau layer siamtu hian ‘plaque’ kan ti thin. He plaque layer hi a thim zauh zauh a, vein chhunga hmun awm chu a tihtlem phah bawk. A dik zawka sawi chuan vein a ti tawi a ni. Damdawi lamah chuan he thil hi Atherosclerosis tiin kan sawi thin. Chuvangin PAD hi Atherosclerosis natna a ni a, chu chuan ke ruh, a bik takin ke ruhte chu a tikhawlo a ni.
Atherectomy hi artery blocked takah tube (catheter) te tak te dahin, tube tawp lama blade te tak te emaw laser beam emaw hmangin plaque khauh tak chu an tan a, an scrape chhuak thin. Pipe chhunga bawlhhlawh te tak te, hmanraw bik hmanga tihfai ang mai a ni.
Chutianga an tih zawh chuan thisen kalna kawngkhar (Blockage) chu a chhuak a, thisen chu zalen takin a luang chhuak thei a ni. A châng chuan, he thau layer hi an paih chhuah hnuah, doctor-te chuan thisen kalna kawng chu inhawng reng tûrin angioplasty an ti thei a, chu chu balloon emaw, stent emaw dahin a ni thei .
Atherectomy enkawlna chi hrang hrangte chu engte nge ni?
Atherectomy enkawlna chi hrang hrang a awm a, chu chu he plaque layer lakchhuahna atana hmanraw hman dan azirin a ni. I doctor chuan i artery-a blockage chi hrang hrang leh plaque layer awm dan te a zirin i tana tha ber tur a thlang ang.
| Enkawl dan hming (Type of Atherectomy) 1.1. | A Hnathawh Dan |
|---|---|
| Excisional Atherectomy tih a ni | Hei hian plaque layer chu a sir khatah fine-bladed instrument hmanga tan leh lakchhuah a ni. |
| Laser hmanga lakchhuahna Atherectomy | A hming ang bawkin hei hian high-energy laser beam hmangin plaque layer chu a tithianghlim a, a vaporize a, a paih chhuak thin. |
| Orbital Atherectomy tih a ni | Hei hi sandpaper hmanga rust tihbo ang mai a ni. Diamond tip chak taka inher thei device hmangin plaque layer chu an scrape chhuak a, an pulverize bawk. |
| Rotational Atherectomy hmanga tihchhuah a ni | Chutiang a nih chuan, blade te tak te engemaw zat nei, speed sang taka inher thei hmanrua hmangin plaque layer chu an tan a, an tikehsawm a, an paih chhuak thin. |
He enkawlna hma hian eng nge ka tih ang?
I doctor-in he enkawlna hi tih a tum hma hian i thisen kalna kawng (veins) chu engzat nge a block tih leh khawiah nge a awm tih chiang taka enfiah turin test engemaw zat a ti ang.
- Angiography: Hei hian i thisen kalna kawngah dye bik inject a, chuta thisen luang chhuak chu X-ray image lak a ni. Hei hian blockage eng pawh chiang takin a hmu thei a ni.
- Vascular Ultrasound: Hei hi scan pangngai ang a ni. Sound wave hmangin thisen thisen kal chak dan a teh a, blockage a hriat theih bawk.
Heng test result atang hian i doctor chuan Atherectomy atan i tling em tih a rel ang. Chumi hnuah chuan doctor chuan enkawlna atana inbuatsaih dan tur chiang takin a hrilh ang che.
- Ei leh In: Enkawl hma darkar engemaw zat ei leh in loh turin an ti thei che a ni.
- Damdawi: Damdawi dang i ei tur zawng zawng, a bik takin thisen tithianghlimtu (anticoagulants) emaw aspirin emaw i ei tur chu doctor hnenah hrilh a pawimawh. Ni engemaw zat ei khap turin an ti mai thei che.
I enkawl ni-a damdawi in i kal chuan damdawi in kawr hak tur i pe ang a, i kut vein pakhatah tube te tak te dahin anesthesia pek che a ni ang. Lungngai suh, heng zawng zawng hi i rilru hahna leh hrehawmna i neih loh nan tih a ni.
Engtin nge enkawlna hian hna a thawh?
Okay, tunah chuan he enkawlna hi engtin nge an tih tak tak tih hi han en ila. Hei hi surgery lian tak a nih loh avangin i taksaah incision lian tak a siam lo.
1. Pakhatnaah chuan zu ruih deuha i inhriat theih nan numbing medicine leh sedative an pe ang che. Chuvangin hrehawmna i nei lovang, mahse i conscious ang.
2. Tichuan, doctor chuan i vunah hian incision te tak te a siam ang a, i vein pakhatah (a tlangpuiin i groin emaw wrist-ah) tube te tak te (catheter) a dah ang.
3. A dawtah chuan tube chu uluk takin vein kaltlangin, X-ray kaihhruaina hnuaiah, plaque awmkhawmna leh a block na hmunah thawn a ni.
4. A tawp berah chuan tube tawp lama special device (blade, laser, or rotating tip) chu activate a ni a, plaque layer chu cut a, scrape chhuakin, tube kaltlangin a piece te chu lakchhuah a ni.
Hei hi thisen kal dan a lo tha leh kim hma loh chuan vawi tam tak tih a ngai mai thei. A kalphung zawng zawng hi darkar hnih vel a ni tlangpui.
Enkawl hnuah eng nge thleng?
Enkawlna hlawhtling taka zawh hnuah chuan catheter dahna hmun atanga thisen chhuak lo turin darkar engemaw zat (a tlangpuiin darkar 4-6) khumah i mu a ngai dawn a ni. Hemi chhung hian nurse te hian i thisen sang, i pulse leh heart rate te an enfiah fo ang.
A tam zawkah chuan hei hi outpatient procedure anga tih a ni a, chu chu zan khatah i haw thei tihna a ni. Mahse, a chang chuan i dinhmun a zirin ni khat chhung damdawi inah i awm a ngai mai thei.
Ni engemaw zat chhungin i thiltih pangngaiah i kir leh thei tlangpui. Amaherawhchu, mi zawng zawng dam leh hun a inang lo vek avangin, doctor hnenah i hnathawh chhunzawm leh hun tha ber zawt la a tha ber .
Atherectomy enkawlna hlawkna leh hlauhawmna
Damdawi lam thil dang ang bawkin atherectomy hian hlawkna a nei a, hlauhawmna tenau tak tak a nei bawk. Hengte hi fimkhur a pawimawh hle.
| A thatna te | Risk/Complication awm thei te |
|---|---|
| PAD symptoms (ke na ang chi) atanga chhanchhuahna a pe nghal. | Plaque i tan chuan a chi te tak te chu a chhe thei a, i hmaa thisen kalna kawng te tak te dang ah a tang thei bawk. |
| Hei hi surgery lian tak a ni lo. A vunah hian khur te tak te chauh siam a ni. (A tlem berah chuan invasive) . | A chang chuan he hmanrua hian thisen kalna kawng a tichhe thei a, khur a siam thei bawk. |
| Enkawlna hi a tlangpuiin hun rei lote, darkar hnih vel a ni. | Tube dahna hmunah hian thisen chhuah emaw, natna hrik emaw a awm thei. |
| I dam thuai thei a, nun pangngaiah i kir leh thei bawk. | Chu hmunah chuan plaque a deposit leh theihna chance engemaw zat a awm. |
Mahse heng risk te hi a tlem hle tih i hre reng tur a ni. Doctor tawnhriat ngah tak takte chuan heng dinhmunte hi a lo thlen loh nan leh a lo awm a nih chuan enkawl danah an thiam hle.
Engtikah nge doctor nen inbiakna neih a ngaih?
Enkawl zawha in lama i haw hian i taksaa inthlak danglamna eng pawh hi ngaihven a pawimawh hle. A hnuaia symptoms te hi i neih chuan i doctor nen inbia nghal vat tur a ni .
| Enkawl hnua heng symptoms te hi i neih chuan doctor hnenah hriattir nghal tur a ni. |
|---|
| - Treated groin area emaw ke emaw ah natna nasa tak, tuar theih loh. |
| - Ke a hring (Edema) . |
| - Enkawlna hmuna sen emaw, lumna emaw a awm. |
| - Treated ke chu ke dang aiin a vawt zawk emaw, number emaw a ni. |
Atherectomy hi Peripheral Artery Disease (PAD) enkawlna atana hmanraw tangkai leh him tak a ni. Heng symptoms te hi i neih chuan Doctor pan a, thurawn lak hlau suh. Hetiang ang enkawlna tha tak tak avang hian tunah chuan heng natnate hi hlawhtling takin kan hmachhawn thei ta a ni.
Take-Home Thuchah a ni
- Atherectomy hi enkawlna awlsam tak, minimally invasive a ni a, PAD avanga thisen kalna kawnga thau awm (plaque) awmte chu a scrape a, a paih chhuak thin.
- Hei hi surgery lian tak a nih loh avangin i dam thuai thei a, nun pangngaiah i kir leh thei bawk.
- Enkawlna zawng zawng ang bawkin hlauhawmna tlemte a awm a, mahse a tlem hle a, doctor tawnhriat ngah tak takte pawhin an enkawl thei a ni.
- Enkawlna i neih zawhah i keah natna danglam tak, a hring, a sen, a nih loh leh a hring chhuak i neih chuan i doctor ko nghal rawh .
- I nunphung, ei leh in leh exercise te hi he enkawlna hlawhtlinna atan leh natna lo let leh tur venna atan a pawimawh hle.











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